Expanded PMA Approval for Impella Heart Pumps
FDA has granted Abiomed expanded PMA approval for the Impella 2.5 and Impella CP heart pumps and their use during elective and urgent high risk percutaneous coronary intervention procedures. The approval also eliminates an earlier requirement for depressed ejection fraction in the presence of severe coronary artery disease or complex anatomy (e.g., left main, multi-vessel, or requiring rotational atherectomy). The pumps are indicated for providing temporary (less than six hours) ventricular support during elective or urgent high risk percutaneous coronary interventions performed in hemodynamically stable patients with severe coronary artery disease, when a heart team, including a cardiac surgeon, has determined high risk intervention is the appropriate therapeutic option, according to the company.
Data submitted to support the expanded PMA indication included an analysis of 229 consecutive patients with mild to moderately reduced ejection fraction from the cVAD Registry study. The data “demonstrated that high risk PCI with Impella support was feasible, safe and achieved favorable outcomes in patients with mild to moderately reduced ejection fraction,” the company says.